Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT1879 | AR |
NPI | 1013068717 |
---|---|
Provider Name | Tabatha Gunnels |
First Address | Conway, AR 72034-3498 |
Second Address | Conway, AR 72034-9310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 13/09/2007 |